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New Hampshire rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $223,872.11 / $288,403.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114,815.36 / $177,827.94 / $288,403.15
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131,825.67 / $257,039.58 / $269,153.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162,181.01 / $162,181.01 / $295,120.92